‣ Location of the lesion:
• Laterality:
---- None Bilateral breasts Left breast Right breast Bilateral axillae Left axilla Right axilla
• Quadrant:
---- None All quadrants Central portion of the breast Lower inner quadrant Lower outer quadrant Upper inner quadrant Upper outer quadrant Inner quadrants Lower quadrants Outer quadrants Upper quadrants Lower and outer quandrants All quadrants (left), lower quadrants (right)
• O'clock:
01: 02: 03: 04: 05: 06: 07: 08: 09: 10: 11: 12: Central zone:
• Zone:
---- None Anterior third All zones Anterior and middle thirds Middle third Middle and posterior thirds Posterior third
‣ Mass:
• Number:
---- 0 1 2 3 ?????????????
• Size:
---- None Less than 1 cm More than 1 cm
• Shape:
---- None Focal asymmetry Indistinct Irregular Linear dilated duct Oval Round Round to oval
• Margins:
---- None Angular Circumscribed Spiculated Indistinct Partly circumscribed and partly obscured Microlobulated Obscured Partly circumscribed and partly indistinct
• Density:
---- None Calcified mass Equal Equal with dense calcifications Equal with dense macrocalcification Equal with fat-containing areas Fat-containing High
‣ Calcifications:
• Typically benign:
⁃ Skin:
---- None Present
⁃ Vascular:
---- None Present
⁃ Coarse or “popcorn-like”:
---- None Present
⁃ Large rod-like:
---- None Present
⁃ Round:
---- None Present
⁃ Rim:
---- None Present
⁃ Dystrophic:
---- None Present
⁃ Milk of calcium:
---- None Present
⁃ Suture:
---- None Present
• Suspicious:
⁃ Amorphous:
---- None Present
⁃ Coarse heterogeneous:
---- None Present
⁃ Fine pleomorphic:
---- None Present
⁃ Fine linear or fine-linear branching:
---- None Present
• Distribution:
⁃ Diffuse or scattered:
---- None Present
⁃ Regional:
---- None Present
⁃ Grouped or clustered:
---- None Present
⁃ Linear:
---- None Present
⁃ Segmental:
---- None Present
‣ Architectural distortion:
---- None Present
‣ Asymmetry:
---- None Present Present, Developing asymmetry Present, Focal Present, Global
‣ Intramammary node:
---- None Present Present, enlarged Present, reactive
‣ Skin lesion:
---- None Present
‣ Solitary dilated duct:
---- None Present
‣ Associated features:
• Skin retraction:
---- None Present
• Post-operative skin retraction:
---- None Present
• Skin thickening:
---- None Present
• Nipple retraction:
---- None Present
• Trabecular thickening:
---- None Present
• Architectural distortion:
---- None Present
• Calcifications:
---- None Present
• Axillary lymphadenopathy:
---- None Present